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Northumberland County Council

Contact Details
Title ^*
If other, please state
First Name ^*
Surname ^*
Address Line 1 ^*
Address Line 2
Address Line 3
Town/City
County
Postal Code ^*
Telephone Number
E-mail

Is the waste coming from the above address? ^*

Yes

Address Waste Coming From
Address Line 1 ^*
Address Line 2
Address Line 3
Town/City
County
Postal Code ^*

Please select the Household Waste Recovery Centre that you wish to visit ^*

Is this Domestic Waste Only? ^*

Yes

No. of visits (NB You will need a permit for every visit you need to make) ^*

Please state the approximate date(s) that you intend to visit the site together with the waste deposited.

Visit 1 (date) ^*

Visit 1 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 2 (date) ^*

Visit 2 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 3 (date) ^*

Visit 3 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 4 (date) ^*

Visit 4 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 5 (date) ^*

Visit 5 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 6 (date) ^*

Visit 6 item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 7 (date) ^*

Visit 7 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Visit 8 (date) ^*

Visit 8 Item's ^*Maximum or 6 items per visit

If other, please specify ^*

Please select the vehicle type ^*

Please tell us the vehicle model ^*

Please tell us the vehicle registration number ^*

PLEASE ENSURE THE VEHICLE HAS NO MORE THAN FOUR WHEELS IN TOTAL. UNFORTUNATELY VEHICLES WITH MORE THAN FOUR WHEELS (DOUBLE-WHEELBASED VEHICLES) CANNOT BE ALLOWED ONTO THE HOUSEHOLD WASTE SITES.

Are you using a trailer greater than 5' in length and less than 9'10" (3m) in length ^*

Yes

If yes, please confirm the trailer length ^*

UNFORTUNATELY TRAILERS OVER 9'10" IN LENGTH CANNOT BE ACCOMODATED ON SITE

Any notes

Declaration
"You tick this box to declare that your waste is from your own household, that you understand that your vehicle can have no more than four wheels and that you are insured to drive the vehicle described above"

Declare ^*

Yes

NB All sections must be completed before this permit application will be processed.
Contact Telephone (0845) 600 6400 or Fax (01670) 511 413

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